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The goal of this pilot study is to determine the initial impact on wellbeing for clients with acquired brain injury and their care partner after engaging in a nature & music-based program facilitated by occupational therapy and music therapy. The main questions it aims to answer are:
Primary Question: What is the impact on wellbeing for clients with acquired brain injury and their care partner after engaging in a nature & music-based program facilitated by occupational therapy and music therapy?
Secondary Question: What is the feasibility of a four-session nature & music-based wellness program for clients with acquired brain injury and care partner dyads?
Participants will complete self-reported surveys before and after completing 4 sessions of a nature & music-based program facilitated by occupational therapy and music therapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nature In Harmony | Experimental | The Nature in Harmony program involves four in-person sessions held at Duquesne University's campus using the outdoor pavilion and community garden with the final session occurring at Frick Park at their Environmental Center located in Pittsburgh, PA, between May and June of 2026. Each session will have a minimum of two principal investigators to lead the activities. Graduate assistants will be at each session to provide additional hands-on support for safety, mobility, and participant engagement. Participants will be instructed to complete carryover activities between sessions: one to be completed together dyadically (person with ABI & care partner) and one to be completed individually. Dyads will reflect on the experience in their activity journal and share and the beginning of sessions 2-4. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nature in Harmony | Behavioral |
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| Measure | Description | Time Frame |
|---|---|---|
| EUROHIS-QOL 8-item index | EUROHIS-QOL 8 is a standardized assessment of general quality of life that assesses four domains of QOL: physical, psychological, social, and environmental. This assessment has been validated for persons with traumatic brain injury (Balalla et al., 2019). This is 5-point scale from "not at all" to "completely." A high total point value indicates a better quality of life rating. | First session to end of program approximately 4 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| The Connor-Davidson Resilience Scale | The 10-item Connor-Davidson Resilience Scale will be administered as a secondary outcome to determine if any impacts are seen after this brief program because of participation. This measure has been used with persons post-traumatic brain injury, stroke, and caregivers. Rating scale goes from 0-4 with higher total scores indicating better resilence. | First session to end of program approximately 4 weeks. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Duquesne University | Pittsburgh | Pennsylvania | 15228 | United States |
This was not included in the original IRB due to the small and local nature of the sample.
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| ID | Term |
|---|---|
| D001930 | Brain Injuries |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D006259 | Craniocerebral Trauma |
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| Dyadic Relationship Scale | The 10-item Dyadic Relationship Scale will be administered as a secondary outcome to examine any changes in both positive and negative interactions between individuals with ABI and their care partners after this program (Sebern & Whitlatch, 2007). This is a four point scale with a higher score indicating more negative dyad experiences. | First day to end of program approximately 4 weeks |
| Client Satisfaction Questionnaire (CSQ-8) | This measure uses eight questions on a four point Likert-scale strongly agree to strongly disagree to assess participants' overall satisfaction with the program with a maximum score of 32 (Attkisson & Greenfield, 2004). The average score for the group on the CSQ-8 is at least 24. | Last session, approximately 4 weeks after first session |
| Attendance | Session attendance will be tracked at every session throughout the program as either present "1" or absent "0". Participants who attend all sessions will have a total of 4. | Every week for 4 weeks. |
| Accessibility of the strategies | 4-point Likert scale survey will be used to document participants' interest in using the covered strategies in the sessions. Items will not be totaled and scales vary by question. | Every week of the program for four weeks. |
| Carryover of the strategies | A self-reported journal includes date, the name of the activity, length, and personnels will be provided for documenting the carryover activities outside of the session time. | Weekly journal entries for weeks 2,3, and 4. |
| D020196 | Trauma, Nervous System |
| D014947 | Wounds and Injuries |